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Acupuncturist Study CentrePMING.CA · TCM STUDY LIBRARY
APPENDIX K · INTERNAL MEDICINE

胸痹

胸痹 · Xiong Bi

Chest Impediment

Discipline · Internal MedicineHandbook · Appendix KID K-005
FROM KNOWLEDGE TO CLINICAL REASONING

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01症状 / Symptoms & signs

胸闷胸痛、心悸气短,疼痛可放射

Chest oppression and pain, palpitations and shortness of breath; pain may radiate.

02病因病机 / Etiology & mechanism

寒凝、痰浊、气滞血瘀阻滞心脉,或心气心阳不足

Cold, turbid phlegm, and qi stagnation with blood stasis obstruct the Heart vessels; Heart qi or yang may also be deficient.

03辨证分型 / Pattern differentiation
01
痰浊
Turbid phlegm

胸闷痰多

Chest tightness with profuse phlegm

02
血瘀
Blood stasis

刺痛定处、舌暗

Fixed stabbing pain and dusky tongue

04针灸配穴 / Acupuncture point selection
PC6内关Neiguan
CV17膻中Shanzhong
HT7神门Shenmen
ST40丰隆Fenglong

Illustrative study point combinations, not a prescribed treatment or official answer key.

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